| NPI | 1215234372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT27708) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1198690) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2015-09-01 |